Individual
SHAWN LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 S 28TH AVE STE 310, HATTIESBURG, MS 39401-7208
(601) 579-5261
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5261
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
28746
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-9770
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06425721
—
MS
Enumeration date
05/11/2012
Last updated
09/13/2021
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